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IR - 66123! � % Y �° �1070� Building Job Report ADURESS � �� L/ C �D Q�-��� � OWNER ��,'� �;�/ BUILDER DATE PERMIT NO. ,'�S7 DESCRIPTION .—,c�,I ;��1 D — I.P �l _al/rlJw/%� INSPECTION RECORD DATE � / d I °�/ "T REPORT � OWNER �EP I PECTOR , , ,